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Part Time Utilization Management Jobs in Kansas (NOW HIRING)

Team Lead - 32591

Overland Park, KS ยท On-site

$40K - $51K/yr

A Team Lead may be a full or part-time management employee. Duties and Responsibility * Primary ... Utilization of all available training tools Consistent reinforcement of customer service standards

Team Lead - 32618

Olathe, KS ยท On-site

$39K - $50K/yr

A Team Lead may be a full or part-time management employee. Duties and Responsibility * Primary ... Utilization of all available training tools Consistent reinforcement of customer service standards

Program Manager

Leavenworth, KS ยท On-site

$99K - $225K/yr

... management of employees, performance to Warfighter Exercises (WFX), Risk Reduction Events (RREs ... Experience with utilization of simulations in support of Army, Joint, and multinational exercises

Part Time Branch Office Administrator

Derby, KS ยท On-site

$18.25 - $18.75/hr

Digital Tool Utilization * Team Collaboration Role Requirements * Client Service: Provide ... Account Management: Aptitude to learn and understand the financial services industry. Includes ...

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Part Time Utilization Management information

What is the difference between Part Time Utilization Management vs Part Time Care Coordinator?

AspectPart Time Utilization ManagementPart Time Care Coordinator
Primary RoleReviewing and approving healthcare services to ensure appropriate utilizationCoordinating patient care plans and services across providers
CertificationsTypically requires healthcare or insurance-related certificationsOften requires healthcare or case management certifications
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHealthcare facilities, clinics, or community health settings
Employer & Industry UsageInsurance companies, managed care organizationsHospitals, clinics, healthcare providers

While both roles involve healthcare coordination, Part Time Utilization Management focuses on reviewing and authorizing services, whereas Part Time Care Coordinators actively manage patient care plans. Understanding these differences helps in choosing the right career path or job search focus.

What are the key skills and qualifications needed to thrive as a Part Time Utilization Management professional, and why are they important?

To thrive as a Part Time Utilization Management professional, you need a background in nursing or healthcare, critical thinking skills, and knowledge of medical necessity criteria, often supported by RN or LPN licensure. Familiarity with utilization review software, electronic health records (EHRs), and systems like InterQual or Milliman is typically required. Strong communication, attention to detail, and organizational skills help you effectively coordinate with providers and ensure accurate documentation. These abilities are essential for making informed coverage determinations, optimizing resource use, and maintaining compliance with healthcare regulations.

What is a part-time utilization management job?

A part-time utilization management job involves reviewing and evaluating the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities on a part-time basis. These professionals help ensure that patients receive the right care at the right time while controlling healthcare costs and complying with insurance policies. Part-time roles may be suitable for nurses, social workers, or other healthcare professionals who want flexible hours while contributing to quality patient care and resource management.
What are the most commonly searched types of Utilization Management jobs in Kansas? The most popular types of Utilization Management jobs in Kansas are:
What cities in Kansas are hiring for Part Time Utilization Management jobs? Cities in Kansas with the most Part Time Utilization Management job openings:

Director of Revenue Cycle

William Newton Memorial Hospital - Winfield, Kansa

Winfield, KS โ€ข On-site

Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 27 days ago


Job description

Description:

Job Summary:

Supervises and coordinates activities of workers engaged in calculating, posting, and verifying duties to obtain and record financial data for use in maintaining accounting and statistical records. Supervises workers in the Business Office and Central Scheduling and works closely with those Supervisors to lead department as necessary. Compiles composite reports from individual reports of subordinates required by management of government agencies. Determines work procedures, prepares work schedules, and expedites work flow. Assigns duties and examines work for exactness, neatness, and conformance to policies and procedures.


Standards of Behavior

William Newton Hospitalโ€™s Standards of Behavior allow a mechanism for holding each employee accountable and encourages us to "raise the bar".

All employees are expected to familiarize themselves with the Standards and practice them daily.

i - Integrity

We act with unwavering moral principle,

transparency, and sincerity in every

interaction.

P - Patient-Centered

We meet patients where they are, ensuring

the are active participants in their care

journey. We prioritize the patient's physical

and emotional well-being over all else.

A - Accountability

We own our actions. We set clear

expectations and hold all team members to

the same high standards.

C - Compassion

We treat every patient, family member, and

colleague with kindness, empathy, and

dignity.

E - Excellence

We approach every task, large or small, with

enthusiasm. We continually pursue mastery

and best practices in our field.


Job Duties and Responsibilities:

  • Demonstrates the ability to direct and coordinate the patient accounting function in order to consistently produce accurate bills which are paid in a timely manner.
  • Monitors activities continually with collection agencies, insurance companies, Admissions, Medical Records, Information Systems, patients and physicians; coordinates operation and recommends corrective action, as appropriate.
  • Effectively utilizes and understands the departmental computer system in order to realize its optimal potential and to be able to evaluate and answer staff member questions regarding the mechanics of the system.
  • Demonstrates tact and diplomacy when setting patient accounts and responding to physiciansโ€™ requests to discount patient bills; follows established facility guidelines.
  • Works effectively with auditors in locating various patient bills as required; demonstrates cooperation and responsiveness.
  • Maintains a current awareness of third-party reimbursement regulations and contractual arrangements with HMOs and PPOs.
  • Promotes good staffing practices by maximizing the utilization of human resources; forecasts and anticipates the personnel needs of the Department with regard to fluctuations in the projected workload; holds staffing at a functional minimum; effectively employs part-time help.
  • Organizes the Department in a manner that is consistently responsible to patient/customer needs.
  • Consistently demonstrates good organizational skills in the routine accumulation of statistical information and reports it to the Chief Financial Officer (CFO) in an accurate and timely manner.
  • Effectively coordinates the Patient Accounts function with Accounts Receivable, Registration, HIM and Nursing departments on a routine basis.
  • Effectively maintains all required records for the Department; demonstrates good organizational skills.
  • Continually works toward establishing an environment within the department which reduces the โ€œpaper shuffleโ€ through increased use of computer technology and more effective methods of activity consolidation.
  • Demonstrates the ability to devise more efficient methods and systems for getting the work done in the Department; reduces the use of time and effort to an effective minimum; institutes change in techniques and procedures as necessary.
  • Strive to achieve Organizational and Department goals.
  • Verify AIDET quarterly, round on staff and send thank you notes monthly.
Requirements:

Professional Requirements:

  • Adheres to dress code standards; appearance is neat and clean.
  • Completes annual educational requirements.
  • Maintains regulatory requirements, including all state, federal and CMS regulations.
  • Maintains and ensures patient confidentiality at all times.
  • Reports to work on time and as scheduled.
  • Wears identification while on duty.
  • Attends annual Hospital Review and Department in-services as scheduled.
  • Actively participates in the Departmentโ€™s Continuous Quality Improvement (CQI) activities, attend committee and management meetings, as appropriate.
  • Ensures confidentiality of patientโ€™s records.
  • Communicates the mission, ethics and goals of the Hospital, adheres to the Standards of Performance.
  • Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff.
  • Represents the organization in a positive and professional manner.
  • Ensures compliance with policies and procedures regarding department operations, fire, safety and infection control.
  • Complies with all organizational policies regarding ethical business practices.

Regulatory Requirements:

  • High School graduate required, college degree preferred.
  • Five or more years of previous hospital experience in all aspects of business office functions is required.
  • Critical Access Hospital experience preferred.
  • Three years of management or leadership experience is preferred.
  • Knowledge of CMS and state regulations for acute hospitals.
  • Ability to work with physicians in a collaborative manner.

Benefits

  • Paid Time Off (PTO)
  • Earned Illness Benefit (EIB)
  • Health Insurance
  • Dental Insurance (Delta Dental)
  • Vision (VSP)
  • KPERS State Retirement
  • Employee Discounts

Additional Benefits

  • Sign on bonus
  • Relocation to Winfield, Kansas